Senior Medicare Compliance Advisor - Remote

Centene Corporation; Virginia Beach (VA); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Corporation seeks a Medicare Compliance Advisory expert to support day-to-day execution of the program, interpreting CMS requirements and translating them into clear guidance for business and compliance leadership.

You will partner with the senior manager to ensure timely completion of assignments, maintain documentation of risks, trends, and corrective actions, and support audits, regulatory reviews, and compliance workplans.

Qualifications

• Bachelor's degree in a related field or equivalent experience required.
• 5+ years in compliance, regulatory, operations, or risk management in a regulated industry.
• 4+ years Compliance advisory experience including regulatory research and drafting guidance.
• 2+ years supporting managed care or Medicare programs.
• Strong written and verbal communication; analytical and detail-oriented.
• CHC certification preferred.
• CMS audit and monitoring familiarity preferred.

Responsibilities

• Execute Medicare Compliance Program per CMS and state regs.
• Translate requirements into actionable guidance for stakeholders.
• Develop regulatory communications and liaison with regulators.
• Prepare regulatory reports, attestations, filings timely.
• Identify compliance risks and evaluate processes for mitigation.
• Lead or support root cause analysis and corrective actions.
• Support audit scope, testing strategies, and monitoring.
• Collaborate with stakeholders for audit readiness.
• Evaluate remediation plans for sustainable resolution.
• Contribute to compliance training and mentoring.
• Review policies and processes for regulatory alignment.
• Participate in cross-functional initiatives to improve compliance.
• Monitor regulatory developments and industry trends.
• Collaborate across compliance, legal, audit, and operations.
• Performs other duties and complies with policies.

Skills

Regulatory compliance

CMS guidance

Regulatory research

Risk assessment

Documentation & reporting

Cross-functional collaboration

Training & mentoring

Education

Bachelor's degree in healthcare administration/public health/policy

Master's degree or Juris Doctor preferred

Job description

Centene Corporation seeks a Medicare Compliance Advisory expert to support day-to-day execution of the program, interpreting CMS requirements and translating them into clear guidance for business and compliance leadership.

You will partner with the senior manager to ensure timely completion of assignments, maintain documentation of risks, trends, and corrective actions, and support audits, regulatory reviews, and compliance workplans.